FRED S WITTENSTEIN (MD) – Diagnostic Radiology Physician, NPI 1265412308

FRED S WITTENSTEIN (MD) is a healthcare provider. based in Maitland, Florida. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. 55078 (KY). The NPI Number for FRED S WITTENSTEIN (MD) is 1265412308

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
FRED S WITTENSTEIN (MD)
NPI
1265412308
Phone
(407) 200-2355
Address
2600 WESTHALL LN FL 4
Enumeration Date
17 January 2006
Last Update Date
22 December 2022

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4073031414
Graduation Year
1980 (46 years ago)
PAC ID
0840260402
Group Practice PAC ID
1254311137
Professional Enrollment ID
I20040730000070
Address ID
FL328045554OR235XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for FRED S WITTENSTEIN (MD)

  • Westhall Lane, Maitland, Orange County, Florida, 32810, United States

    MAITLAND, FL 327517102

    Phone: (407) 200-2355

    Type: Mailing

  • Florida Hospital Orlando Emergency Room, 601, Rollins Street, Orlando, Orange County, Florida, 32803, United States

    ORLANDO, FL 328031248

    Phone: (407) 200-2355

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040730000070IDiagnostic RadiologyFLTBD
I20230105001639IDiagnostic RadiologyKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,73222$0
71045X-ray of chest, 1 view619602$0
71046X-ray of chest, 2 views254252$0
76770Complete ultrasound scan behind abdominal cavity234233$0
71250Ct scan of chest without contrast153151$0
View full utilization report →

Insurance plans in this area (ZIP 32751)

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Provider's Procedures

FRED S WITTENSTEIN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL71010X-ray of chest, 1 view, front23141707
DIAGNOSTIC RADIOLOGYFL71250CT scan chest331317
DIAGNOSTIC RADIOLOGYFL73110X-ray of wrist, minimum of 3 views1919
DIAGNOSTIC RADIOLOGYFL76830Ultrasound pelvis through vagina2121

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254311137View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for FRED S WITTENSTEIN (MD)?
FRED S WITTENSTEIN (MD) — NPI 1265412308 — is the standard way to identify this listing.
Can I rely on FRED S WITTENSTEIN (MD) being an active provider?
As of the registry snapshot, FRED S WITTENSTEIN (MD) is marked active.
What taxonomy line describes FRED S WITTENSTEIN (MD)?
For research purposes, treat FRED S WITTENSTEIN (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect FRED S WITTENSTEIN (MD) on a map?
Expect Maitland, Florida as a primary anchor for FRED S WITTENSTEIN (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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